[Question #3224] 3rd and Final post

39 months ago
Dr.  This is my 3rd post.  My 2 previous posts (2834) and (2865).  Long story short.  Received oral from a csw in morocco.  Had frequent urination and body aches at 6-7 days.  Then lump in throat feeling at 4 weeks (which lasted almost a month)  at 5 weeks, along with dry mouth, noticed my tounge was whitish.   At 10 weeks and 2 days, had 4th gen test and complete std panel.  All came back negative.  But i still now have a whitish tounge. (3 months after i noticed it) I have dry mouth and post nasal drip.  I believe this is the cause of my tounge issues.  A few dr's / dentist from another site do not believe its thrush or fungal.  

1.  Is this something seen in HIV patients? (i know other negative test subjects have complained about white Tounge)

2. Could the test not have picked up the strain?

3.  The blood drawn was sent to a bigger city lab overnight,  could the blood have been exposed to oxygen or not kept at the right temp for a bad reading?

4.  Should i trust the test results, and chalk it all up to anxiety causing my issues.  

Edward W. Hook M.D.
Edward W. Hook M.D.
39 months ago
        Welcome back to our Forum.  I'm saddened that you continue to worry about your extramarital exposure.  You do not have HIV or any STI from the exposure you mention and repeating your questions will not change the answers you receive.

1.  Persons with HIV may have a variety of oral symptoms, just as persons without HIV may have.  These problems can change the appearance of the tongue and not be due to HIV.  YOU DO NOT HAVE HIV!!!

2.  You forgot to mention that you have also tested with a rapid test.  As Dr. Handsfield explained, your first test essentially ruled out HIV and your 4th generation test proves that you were not infected with any strain of HIV.  You need to believe your test results.

3.  No, no problem in transport or exposure to air/oxygen would change your test results.

4.  I do think that your guilt and anxiety are causing you to look for symptoms and then to associate what you notice with HIV.  You do not have HIV.  Your concerns are anxiety related.  Please try not to worry.  Given your persistent concerns, my advice is to seek counseling  with a trained professional mot help you deal with your concerns.  EWH
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39 months ago
Dr.  I never had a rapid test, but i had asked dr hansfield about the effectivness of them.  I decided to do a full on 4th gen duo test and std panel instead that came back negative.     That being said, if that does not change anything, i will let it go and stop with my concern.  Thank Yall for the knowledge yall have provided.   

Sincerely,
No longer stressed and worried guy!
Edward W. Hook M.D.
Edward W. Hook M.D.
39 months ago
Sorry for the mis-understanding M about the rapid test.  That does not change my advice however.  Currently available 4th generation M tests are among the most reliable tests in all of medicine.  I'm pleased my comments helped.  Take care.  EWH---
39 months ago
Since i still have a question left.  And this is just for curiosity.  I am convinced im HIV neg, let alone never really had an exposure.  What is the rfl (reflex) mean on an HIV test?  As in 4th gen ab/ag with rfl.

Thanks. 
Edward W. Hook M.D.
Edward W. Hook M.D.
39 months ago
The term "reflex" in laboratory testing refers to the practice of confirming an initially positive test with a second test for the same infection which tests for infection in a different way.  When both the initial and the reflex tests are positive, this confirms the diagnosis.  Reflex testing is done to reduce the likelihood of a false positive result.  When two different tests give the same result, the chance of a false positive test result becomes vanishingly low.

As you know, this was my 3rd and, as per Forum guidelines, final comment.  This thread will be closed later today.  Take care.  EWH
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